Pneumomediastinum following spontaneous vaginal delivery: report of a rare phenomenon

Author:

Badran Dania1,Ismail Safiyah1,Ashcroft James2

Affiliation:

1. Imperial College London Medical Faculty, South Kensington, London, UK

2. Department of Surgery & Cancer, Imperial College London, St Mary's Hospital Campus, 10th Floor, QEQM Building, Praed Street, London, UK

Abstract

Abstract Pneumomediastinum is the presence of mediastinal air, which raises concern for life-threatening conditions such as esophageal perforation and mediastinitis. Here, we described the case of a young female with no previous past medical history, who developed spontaneous pneumomediastinum following uncomplicated spontaneous vaginal delivery (SVD) giving birth to a healthy newborn at full term. The incidence of benign pneumomediastinum following SVD is estimated at 1 in 100 000 deliveries. This case explores the etiology of this rare presentation, recommends essential investigations and advises on pertinent clinical considerations.

Funder

Imperial College

Publisher

Oxford University Press (OUP)

Subject

Surgery

Reference10 articles.

1. Spontaneous pneumomediastinum: 41 cases;Macia;Eur J Cardiothorac Surg,2007

2. Spontaneous pneumomediastinum: time for consensus;Sahni;N Am J Med Sci,2013

3. Provider support of spontaneous pushing during the second stage of labor;Sampselle;J Obstet Gynecol Neonatal Nurs,2005

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